Clinical decision support systems in addiction and concurrent disorders: A systematic review and meta-analysis.

Introduction: This review aims to synthesise the literature on the efficacy, evolution, and challenges of implementing Clincian Decision Support Systems (CDSS) in the realm of mental health, addiction, and concurrent disorders.

Methods: Following PRISMA guidelines, a systematic review and meta-analysis were performed. Searches conducted in databases such as MEDLINE, Embase, CINAHL, PsycINFO, and Web of Science through 25 May 2023, yielded 27,344 records.

Architecture and Development Framework for a Web-Based Risk Assessment and Management Platform Developed on WordPress to Address Opioid Overdose.

The number of overdose-related fatalities continues to reach historic levels across Canada, despite ongoing efforts by authorities. To reduce mortality, a clinical trajectory ranging from preventative measures to crisis intervention, skill training to treatment, and risk assessment to risk management needs to be supported. The web-based Risk Assessment and Management Platform (RAMP) was developed to realize this concept and to empower people who use drugs through an integrated tool that allows them to better understand and manage their risk of overdose.

Adherence to e-health interventions for substance use and the factors influencing it: Systematic Review, meta-analysis, and meta-regression.

Background: Substance use disorders affect 36 million people globally, but only a small proportion of them receive the necessary treatment. E-health interventions have been developed to address this issue by improving access to substance use treatment. However, concerns about participant engagement and adherence to these interventions remain.

Understanding eHealth Cognitive Behavioral Therapy Targeting Substance Use: Realist Review.

Background: There is a growing body of evidence regarding eHealth interventions that target substance use disorders. Development and funding decisions in this area have been challenging, due to a lack of understanding of what parts of an intervention work in which context.

Objective: We conducted a realist review of the literature on electronic cognitive behavioral therapy (eCBT) programs for substance use with the goal of answering the following realist question: "How do different eCBT interventions for substance use interact with different contexts to produce certain outcomes?"

Methods: A literature search of published and gray literature on eHealth programs targeting substance use was conducted.

[Debts, loans and unpaid bills among day patients and inpatients in psychiatric care in Berlin, Germany].

Background: Previous studies among the general population indicated an association between mental illnesses and different forms of financial difficulties, such as indebtedness.

Objective: Investigation of the financial burden and associated factors among inpatients and day clinic patients in psychiatric care.

Material And Methods: A total of 488 patients in psychiatric care in the catchment area of the Psychiatric University Hospital Charité at St.

The impact of employment on recovery among individuals who are homeless with severe mental illness in the Vancouver At Home/Chez Soi trial.

Objective: To assess impact of employment on recovery in a sample of adults from Vancouver At Home (VAH) study, who were homeless and were diagnosed with severe mental disorders.

Methods: The VAH included two randomized controlled trials investigating the effect of housing first with support intervention in vulnerable population. Employment was assessed at baseline and during the follow-up using Demographics, Housing, Vocational, and Service Use History (DSHH), and Vocational Timeline Follow-Back (VTLFB) self-report questionnaires, respectively.

Advancing E-Mental Health in Canada: Report From a Multistakeholder Meeting.

The need for e-mental health (electronic mental health) services in Canada is significant. The current mental health care delivery models primarily require people to access services in person with a health professional. Given the large number of people requiring mental health care in Canada, this model of care delivery is not sufficient in its current form.

Childhood Trauma and Lifetime Traumatic Brain Injury Among Individuals Who Are Homeless.

Objectives: To study the association of childhood trauma and lifetime prevalence of traumatic brain injury (TBI) among individuals who are homeless.

Design: Cross-sectional survey.

Setting: Three cities in British Columbia, Canada.